chapter 16 Flashcards
how can you control bleeding on a patient with epistaxis
apply steady or pinch both nostrils for 10-15 minutes and apply ice compresses over the nose at the same time - to control bleeding
what is the best position for patient with epistasis
keep the victims head tilted slightly forward.
a patient who is bleeding profusely is at risk for what type of shock
hypovolemic shock
what are the signs of hypovolemic shock
decrease in blood pressure drops and increase in pulse, but pulse is weak and thready
a patient who is stung by a bee will experience what type of shock and what are the symptoms
anaphylactic shock
symtoms are- urticarial, pruritus, wheezing, hypotension and tachycardia
what are the techniques used when applying a bandage
- the dressing should cover the entire wound
- roll of gauze bandage should be applied uniformly - to ensure even pressure.
- gauze bandages are started at the point of dressing or at the part of the limb with the smallest circumference.
- ** tips of fingers and toes should be left exposed- to check for circulation while applying a bandage
when a patient is having difficulty breathing what is the first action by the nurse
ASSESS by- asking the victim – are you choking?
how are you protected under the good Samaritan laws
follow a reasonable and prudent course of action
when is CPR terminated
CPR is terminated — wen paramedics arrives or if patient has a pulse
what is a contusion and what is the position for this patient when the patient shows signs of shock
contusion (see edema and discoloration) occur, caused by a blow and characterized by edema, discoloration and pain.
-FLAT on the back.
what is the priority in an emergency situation
circulation, airway, breathing
what is a circulatory shock and what are the signs
caused by bleeding – signs - decrease in BP, increase in pulse and respirations
what are the nursing interventions for heat stroke
cool the victim– with a fan and use cold packs
what should the nurse do when the patient starts to shiver because of the cold packs?
remove ice packs and fan
how should the nurse care for a puncture wound
- the nurse should immobilize the object with dressings and tape.
- removing can cause further injury to tissues
where would you check for circulatory impairment, when patient has a bandage
distal to the bandage
what is the order of responding to an emergency
- assess- determine responsiveness - gently shake and lousy ask are you okay?
- Call for help
- 3- determine breathlessness
- detrmine pulseness
- begin chest compressions
if the patient is not breathing, no pulse and unresponsive - what is your priority after you call for assistance?
begin chest compression
how do you open the air way of a patient with a suspected cervical or neck injury
jaw thrust maneuver
how do you care for a fracture
immobilize the fractured dexterity by splinting the bone
monitor circulation - color, temperature, movement,, pulses, cappilay refill.
-apply ice or cold packs to reduce edema
what is a priority intervention, when a patient presents with edema of the fractured arm
monitor circulation - color, temperature, movement, pulses, capillary refill — before applying ice
how do you care for a client with laceration of the index finger using indirect pressure
wash lacerations with antiseptic solution
apply indirect pressure to radial artery
how do you care for a patient with a sucking wound to the chest?
- cover the wound with airtight dressing
- monitor for signs of pneumbothroax (collapse of the lungs)
because of air going into the pleural space- which is increased respiratory rate.
normally there is negative pressure in the pleural space. Air or blood entering the pleural space will cause an increase in pressure which causes the lungs to collapse.
if you notice signs of pneumothorax - leave one side of the dressing untapped– tape only 3 sides. - liquids withheld– because of aspiration.
